Healthcare Value Index Survey. April 9, 2015
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1 Healthcare Value Index Survey April 9, 2015
2 Overview of Aon Hewitt Health Value Initiative The Aon Hewitt Health Value Initiative (HVI) database, launched in 1996, captures healthcare cost and benefit data for: 11.0 million health plan participants 486 employers $55.6 billion in healthcare expenditures Aon Hewitt s Pharmacy Cost Database provides prescription drug cost data for employers nationwide Aon Hewitt s Plan Design Database (PDD) allows analysis of prevalence of plan design features San Francisco Health Service System (HSS) HSS costs are based on the employers actual premium rates for fully insured health plans; Self-insured plan costs are based on HSS funding rates which reflect the projected claims and administrative costs Government / Education Industry (Gov/Edu) Client Size (25,000+) Client size reflects a weighted average of other employers that are a similar size in terms of enrollment Fortune 500 Labor Market HVI Proprietary & Confidential April 9,
3 Annual Healthcare Costs HSS pays on average $10,683 annually for healthcare premiums for its members, which is the highest within the peer group. This represents 81% of the total cost. HSS members pay 14.5% of the premium as compared to an average of 17.6% with the peer group HSS members pay less out of pocket for their care, $645 versus an average of $1,623 Health Plan Costs Per Member Overall Out-of-Pocket Costs Member Contributions Employer Cost HSS Gov/Edu 25,000+ Fortune 500 Labor Market HVI Out-of-Pocket Costs $645 $1,414 $1,983 $2,112 $1,558 $2,024 Member Contributions $1,916 $1,988 $2,494 $2,575 $2,503 $2,552 Employer Cost $10,683 $9,226 $8,589 $8,518 $10,226 $8,678 Total Cost $13,244 $12,628 $13,066 $13,205 $14,287 $13,254 Employer Subsidy Percent 81% 73% 66% 65% 72% 65% Proprietary & Confidential April 9,
4 Financial Index The financial efficiency or of the HSS plan may be a better comparative measure than per member costs. Our Financial Index (FI) removes the cost differences caused by three main factors: Population Demographics Richness of Plan Design Geographic Location The FI reflects administrative costs and care management effectiveness. A FI greater than 100% reflects better-than-average financial efficiency The HSS FI exceeds the peer group % 120.0% 110.0% 100.0% 90.0% 80.0% 70.0% 60.0% Financial Efficiency Overall HSS Gov/Edu 25,000+ Fortune 500 Labor Market HVI Financial Index 121.0% 106.7% 100.7% 99.5% 100.0% 100.0% Enrollment 37, ,674 2,561,332 2,615, ,302 4,947,278 A one percent improvement in your HVI Financial Index corresponds to $3.8 million in annual savings. Proprietary & Confidential April 9,
5 Annual Coverage Election Profile Category HSS Gov/Edu 25,000+ Fortune 500 HVI Total Health Plan Costs per Member $12,599 $11,213 $11,083 $11,093 $11,229 Employer Health Plan Costs per Member $10,683 $9,226 $8,589 $8,518 $8,678 Member Contributions $1,916 $1,988 $2,494 $2,575 $2,552 Employer Subsidy 84.8% 82.3% 77.5% 76.8% 77.3% Total/Average Enrollment 37,084 11,150 59,566 29,726 10,180 Member Only Health Plan Costs per Member $7,578 $6,554 $6,055 $5,977 $6,119 Employer Health Plan Costs per Member $7,158 $5,871 $4,843 $4,653 $4,851 Member Contributions $420 $683 $1,212 $1,324 $1,268 Employer Subsidy 94.5% 89.6% 80.0% 77.8% 79.3% Member Only Enrollment 16,715 Member + Spouse Health Plan Costs per Member $15,508 $16,348 $15,681 $15,585 $15,800 Employer Health Plan Costs per Member $14,029 $13,534 $12,601 $12,425 $12,636 Member Contributions $1,479 $2,814 $3,080 $3,160 $3,164 Employer Subsidy 90.5% 82.8% 80.4% 79.7% 80.0% Member + Spouse Enrollment 9,802 Member + Family Health Plan Costs per Member $18,136 $16,172 $16,560 $16,549 $16,737 Employer Health Plan Costs per Member $13,527 $12,782 $12,542 $12,556 $12,706 Member Contributions $4,609 $3,390 $4,018 $3,993 $4,031 Employer Subsidy 74.6% 79.0% 75.7% 75.9% 75.9% Member + Family Enrollment 10,007 Proprietary & Confidential April 9,
6 Annual Employer Profile 2015 Category HSS Gov/Edu 25,000+ Fortune 500 Labor Market HVI Overall Profile Number of Members 37, ,674 2,561,332 2,615, ,302 4,947,278 Total Health Plan Cost $460,164,058 $6,376,621,451 $28,386,868,923 $29,018,129,514 $5,973,760,741 $55,553,912,299 Total Employer Health Plan Costs $390,195,694 $5,246,356,483 $21,998,875,552 $22,281,034,769 $4,798,868,880 $42,930,255,852 Average Age Adult Cost Factor Percent Females 48% 57% 45% 42% 43% 44% Competitive Cost Benchmarks Total Health Plan Costs $12,599 $11,213 $11,083 $11,093 $12,729 $11,229 Employer Health Plan Costs $10,683 $9,226 $8,589 $8,518 $10,226 $8,678 Financial Index 121.0% 106.7% 100.7% 99.5% 100.0% 100.0% Annual Rate of Cost Increase -10.0% 5.0% 1.0% 1.0% Cost Sharing and Design Index Member Contribution $1,916 $1,988 $2,494 $2,575 $2,503 $2,552 Out-of-Pocket Expense $645 $1,414 $1,983 $2,112 $1,558 $2,024 Total Value of Coverage 114% 106% 100% 99% 106% 100% Net ER Provided Benefit Value 110% 106% 100% 99% 104% 100% Enrollment Traditional HMO/EPO 35, , , , , ,135 Traditional PPO/POS ,715 1,204,847 1,209, ,996 2,545,121 Account-Based HMO/EPO 52,504 53,303 18,887 53,700 Account-Based PPO/POS 45, , ,315 66,146 1,387,603 Indemnity 5,880 5,705 3, ,719 Proprietary & Confidential April 9,
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